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Summary

This new text from the editors of the classic Handbook of Empirical Social Work Practice draws upon the significant advances in research over the last several years. Featuring contributions from leading social work scholars, each chapter examines evidence-based approaches to the full spectrum of mental disorders as classified by the DSM.

Author Biography

BRUCE A. THYER, PHD, is a Professor of Social Work at Florida State University. His research has focused on evidence-based practice, evaluation research, behavior analysis, social work theory, and clinical social work. He has cowritten or coauthored over twenty books, including, most recently, A Social Worker's Guide to Evaluating Practice Outcomes, Program Evaluation: An Introduction, Fourth Edition, and International Perspectives on Evidence-based Practice in Social Work.

JOHN S. WODARSKI, PHD,is Director of Research and Professor of Social Work at the University of Tennessee. He has coedited or coauthored over twenty books, including the Handbook of Violence, Essentials of Child Welfare, and The Social Work and Human Services Treatment Planner, all published by Wiley.

Table of Contents

Contributors

xxiii

Preface

xxvii

Evidence-Based Social Work: An Overview

1

(28)

Bruce A. Thyer

Overview of the Problem

1

(6)

First Principles

7

(16)

There Is an Objective Reality

7

(1)

Psychosocial Phenomena Are a Part of That Reality

8

(2)

Knowledge of Psychosocial Phenomena Can Be Arrived At

10

(2)

Scientific Inquiry Is the Most Reliable Way to Arrive at Valid Knowledge

12

(3)

There Are Some Good Methods to Measure Psychosocial Phenomena

15

(2)

There Are Some Empirically Supported Interventions

17

(1)

We Have a Professional Obligation to Apply This Knowledge

18

(1)

We Have a Professional Obligation to Empirically Evaluate the Outcomes of Our Interventions

19

(3)

We Have a Professional Obligation to Promote Evidence-Based Practice

22

(1)

Summary

23

(1)

Study Questions

24

(1)

References

25

(4)

Part I Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence

29

(126)

Mental Retardation

31

(22)

John Gerdtz

Susan Gerdtz

Overview of the Problem

31

(1)

Operational Definitions of the Problem

32

(6)

Future Terminology

36

(1)

General Characteristics of Persons with Mental Retardation

36

(2)

Evidence-Based Approaches to Assessment

38

(4)

Self-Report Methods

38

(3)

Behavioral Assessment

41

(1)

Evidence-Based Approaches to Intervention

42

(6)

Individual Therapies

42

(3)

Family Interventions

45

(2)

Community Interventions

47

(1)

Summary

48

(1)

Study Questions

48

(1)

References

49

(4)

Autistic Disorder

53

(22)

Claire J. Calohan

Colin M. Peeler

Overview of the Problem

53

(2)

Operational Definitions of the Problem

55

(2)

Evidence-Based Approaches to Assessment

57

(3)

Evidence-Based Approaches to Intervention

60

(8)

Individual Therapies

60

(5)

Marital, Couple, and Family Therapies

65

(3)

Summary

68

(1)

Study Questions

68

(1)

References

69

(6)

Attention-Deficit/Hyperactivity Disorder

75

(22)

David R. Dupper

Joy B. Musick

Overview of the Problem

75

(3)

Operational Definitions of the Problem

78

(1)

Evidence-Based Approaches to Assessment

79

(3)

Structured Teacher and Student Interviews

80

(1)

Rating Scales

80

(2)

Direct Observations

82

(1)

Evidence-Based Approaches to Intervention

82

(6)

Behavioral Parent Training

84

(1)

Classroom Applications of Contingency Management Techniques

85

(3)

Summary

88

(2)

Study Questions

90

(1)

Appendix

90

(2)

Internet Resources

90

(1)

Model Programs

91

(1)

Suggested Readings for Professionals

92

(1)

Suggested Readings for Parents and Other Caregivers

93

(1)

References

94

(3)

Conduct Disorder

97

(20)

Carolyn Hilarski

Overview of the Problem

97

(1)

Operational Definition of the Problem

98

(4)

Additional Specifiers

98

(1)

Comorbidity

99

(1)

Prevalence

100

(1)

Cost

100

(1)

Implications for Social Work

101

(1)

Evidence-Based Approaches to Assessment

102

(2)

Person Interviews or Self-Reports

102

(1)

Collaterals

103

(1)

Family Assessment

103

(1)

School Functioning

103

(1)

Physiological Evaluation

103

(1)

Diagnostic Formulation

104

(1)

Evidence-Based Approaches to Intervention

104

(6)

Individual Therapy

104

(1)

Child- and Parent-Focused and School-Based Interventions

105

(1)

Child-Focused and School-Based

105

(1)

Group Therapies

106

(1)

Family Therapy

107

(1)

Multisystemic Therapy

108

(1)

Community Interventions

108

(2)

Summary

110

(1)

Study Questions

110

(1)

References

111

(6)

Oppositional Defiant Disorder

117

(16)

Lisa A. Rapp-Paglicci

Overview of the Problem

117

(2)

Operational Definitions of the Problem

119

(1)

Evidence-Based Approaches to Assessment

119

(3)

Evidence-Based Approaches to Intervention

122

(5)

Individual Interventions

122

(1)

Group Interventions

123

(1)

Family Interventions

123

(3)

Community and Multifaceted Programs

126

(1)

Summary

127

(1)

Study Questions

128

(1)

References

129

(4)

Pica

133

(22)

Irma A. Molina

Matthew T. Theriot

Catherine N. Dulmus

Operational Definitions of the Problem

133

(1)

Overview of the Problem

134

(5)

Prevalence and Characteristics among Children

134

(1)

Prevalence and Characteristics among Women

135

(3)

Prevalence and Characteristics among the Developmentally and Intellectually Disabled

138

(1)

Social and Financial Costs

139

(1)

Evidence-Based Approaches to Assessment

139

(1)

Evidence-Based Approaches to Intervention

140

(8)

Overcorrection Procedure

140

(1)

Negative Practice (Mild Punishment)

141

(1)

Brief Physical Restraint

142

(1)

Noncontingent Reinforcement

143

(1)

Differential Reinforcement of Incompatible Behavior

144

(1)

Discrimination Training with Punishment Component

145

(1)

A Combination of Noncontingent Reinforcement and Differential Reinforcement of Alternative Behavior

145

(1)

Simplified Habit Reversal

146

(1)

Use of Social Interactions without Aversive Stimuli

146

(1)

Use of a Comprehensive Treatment Package

147

(1)

Iron Therapy and Vitamin Supplement

148

(1)

Summary

148

(2)

Study Questions

150

(1)

References

150

(5)

Part II Substance-Related Disorders

155

(94)

Alcohol Abuse

157

(26)

Nancy J. Smyth

Charles D. Syms

Operational Definitions of the Problem

157

(4)

Moderate and Risky or Heavy Drinking

157

(1)

Alcohol-Related Disorders

158

(1)

People with Alcohol Problems

159

(1)

Prevalence, Incidence, and Social and Financial Costs

159

(1)

Relevance of Social Work's Involvement

160

(1)

Evidence-Based Approaches to Assessment

161

(5)

Structured Clinical Interviews

161

(1)

Computerized Assessment Methods

162

(1)

Self-Report Methods

162

(1)

Screening and Diagnostic Measures

163

(3)

Evidence-Based Approaches to Intervention

166

(9)

Individual Therapies

168

(1)

Group Therapies

169

(2)

Marital and Family Therapies

171

(3)

Community Interventions

174

(1)

Summary

175

(1)

Study Questions

175

(1)

References

176

(7)

Cannabis-Related Disorders

183

(18)

Melissa Radey

Laura Hopson

Overview of the Problem

183

(3)

Prevalence and Incidence

183

(1)

Social and Financial Costs

184

(1)

Social Work Involvement

185

(1)

Operational Definitions of the Problem

186

(1)

Evidence-Based Approaches to Assessment

187

(5)

The Culture Surrounding Marijuana Use

187

(1)

Marijuana Use and Adolescence

188

(1)

Overview of Assessment Instruments

188

(1)

Diagnostic Interviews

189

(1)

Assessment Specific to Cannabis

190

(1)

Biological Assessment Measures

191

(1)

Computerized Assessment Methods

192

(1)

Evidence-Based Approaches to Intervention

192

(4)

Individual Therapies

193

(1)

Pharmacological Interventions

193

(1)

Group Therapies

194

(1)

Family Therapies

194

(1)

Community Interventions

195

(1)

Summary

196

(1)

Study Questions

196

(1)

References

197

(4)

Cocaine-Related Disorders

201

(28)

Patrick S. Bordnick

Hilary L. Copp

Bruce A. Thyer

Overview of the Problem

201

(2)

Operational Definitions of the Problem

203

(1)

Evidence-Based Approaches to Assessment

204

(4)

Self-Report Methods

204

(2)

Behavioral Assessment

206

(1)

Physiological Measures

207

(1)

Evidence-Based Approaches to Intervention

208

(12)

Individual Therapies

209

(9)

Group Therapies

218

(1)

Community Interventions

219

(1)

Summary

220

(2)

Study Questions

222

(1)

References

222

(7)

Opioid-Related Disorders

229

(20)

Laura Hopson

Melissa Radey

Overview of the Problem

229

(2)

Prevalence and Incidence

229

(1)

Social and Financial Costs

230

(1)

Social Work Involvement

230

(1)

Operational Definitions of the Problem

231

(1)

Evidence-Based Approaches to Assessment

232

(6)

Structured Clinical Interviews

233

(1)

Screening Questionnaires

234

(2)

Assessment Specific to Opioids

236

(1)

Physiological Measures

237

(1)

Computerized Assessment Methods

238

(1)

Evidence-Based Approaches to Intervention

238

(5)

Individual Therapies

239

(1)

Pharmacological Interventions

240

(1)

Group Therapies

241

(1)

Couples and Family Therapies

241

(1)

Community Interventions

242

(1)

Summary

243

(1)

Study Questions

243

(1)

References

244

(5)

Part III Schizophrenia and Other Psychotic Disorders

249

(38)

Schizophrenia

251

(36)

Kia J. Bentley

Joseph Walsh

A. Suzanne Boyd

Melissa Floyd Taylor

Overview of the Problem

251

(1)

Operational Definitions of the Problem

252

(4)

Prevalence, Incidence, Social and Economic Costs

254

(1)

Relevance of Social Work Involvement

255

(1)

Evidence-Based Approaches to Assessment

256

(7)

Instruments Used in Research Studies

256

(1)

Symptom Measures for Use in Clinical Settings

257

(2)

Scales Measuring Quality of Life

259

(1)

Social Functioning Scales

260

(1)

Assessing the Adverse Effects of Medication

261

(2)

Evidence-Based Approaches to Intervention

263

(15)

Individual Interventions

264

(3)

Family Approaches and Group Therapies

267

(2)

Community Interventions

269

(9)

Summary

278

(1)

Study Questions

279

(1)

References

280

(7)

Part IV Mood Disorders

287

(42)

Major Depressive Disorder

289

(18)

Michael J. Holosko

Nansy Jean-Baptiste

Trang Le

Allison Eaton

Lisa Power

Overview of the Problem

289

(3)

Gender Differences

290

(1)

Ethnic Minority Issues

291

(1)

Operational Definitions of the Problem

292

(1)

Evidence-Based Approaches to Assessment

293

(2)

Self-Report Methods and Other Administered Interview Guides

293

(1)

Self-Report Interviews and Self-Administered Methods

294

(1)

Evidence-Based Approaches to Intervention

295

(7)

Biological and Biochemical Interventions

295

(1)

Combination Therapies

296

(1)

Individual Therapies

296

(2)

Group Therapies

298

(2)

Marital, Couple, and Family Therapies

300

(1)

Community Interventions

301

(1)

Summary

302

(1)

Study Questions

302

(1)

References

303

(4)

Dysthymic Disorder

307

(22)

Michael J. Holosko

Trang Le

Nancy Jean-Baptiste

Lisa Power

Allison Eaton

Overview of the Problem

307

(4)

Prevalence

308

(1)

Social Impairment

309

(1)

Lost Productivity and Economic Costs

310

(1)

Treatment Costs

310

(1)

Operational Definitions of the Problem

311

(2)

Evidence-Based Approaches to Assessment

313

(3)

Self-Report Instruments

314

(1)

Observer-Rating Scales

314

(1)

Semistructured Interviews

315

(1)

Evidence-Based Approaches to Intervention

316

(7)

Individual Interventions

316

(5)

Couples Therapy

321

(1)

Group Interventions

322

(1)

Community Interventions

322

(1)

Summary

323

(1)

Study Questions

323

(1)

References

324

(5)

Part V Anxiety Disorders

329

(72)

Panic Disorder and Agoraphobia

331

(20)

Joseph A. Himle

Daniel J. Fischer

Laura M. Lokers

Overview of the Problem

331

(2)

Evidence-Based Approaches to Assessment

333

(2)

Clinical Interview

333

(1)

Clinician-Rated and Self-Report Measures

334

(1)

Behavioral Avoidance Test

335

(1)

Evidence-Based Approaches to Intervention

335

(9)

Real-Life Exposure to External Cues

335

(1)

Exposure to Internal Cues (Interoceptive Exposure)

336

(2)

Cognitive Therapy

338

(2)

Anxiety Management Techniques

340

(4)

Summary

344

(2)

Study Questions

346

(1)

References

346

(5)

Agoraphobia without History of Panic Disorder

351

(26)

Bruce M. Hyman

Overview of the Problem

352

(1)

Operational Definitions of the Problem

352

(4)

Evidence-Based Approaches to Assessment

356

(2)

Semistructured Diagnostic Interviews

356

(1)

Unstructured Clinical Interviews

357

(1)

Self-Report Measures

358

(1)

Behavioral Avoidance Tests

358

(1)

Evidence-Based Approaches to Intervention

358

(10)

In Vivo Exposure: Overcoming Fear of External Situations

359

(2)

Interoceptive Exposure: Overcoming Fear of Internal Sensations

361

(1)

Typical Problems

362

(1)

Cognitive Strategies

363

(3)

Self-Regulation Strategies Reconceptualized

366

(1)

Spouse or Significant Other Involvement in Cognitive-Behavioral Therapy

367

(1)

Summary

368

(3)

Study Questions

371

(1)

References

372

(5)

Obsessive-Compulsive Disorder

377

(24)

Barbara Van Noppen

Joseph A. Himle

Gail Steketee

Overview of the Problem

377

(3)

Prevalence

377

(1)

Financial and Social Costs

378

(2)

Operational Definitions of the Problem

380

(2)

Evidence-Based Approaches to Assessment

382

(4)

Structured Clinical Interviews

383

(2)

Self-Report Measures

385

(1)

Observational Measures

386

(1)

Evidence-Based Approaches to Intervention

386

(6)

Individual Behavioral Treatment

386

(2)

Cognitive Interventions

388

(2)

Biological Interventions

390

(1)

Group Interventions

391

(1)

Family Interventions

391

(1)

Summary

392

(1)

Study Questions

393

(1)

References

393

(8)

Part VI Sexual Disorders

401

(56)

Sexual Desire and Arousal Disorders

403

(24)

Sophia F. Dziegielewski

Barbara F. Turnage

Gary Dick

Cheryl Resnick-Cortes

Operational Definitions of the Problem

403

(4)

Sexual Desire Disorders

405

(2)

Evidence-Based Approaches to Assessment

407

(7)

Assessment Scales and Methods

411

(3)

Evidence-Based Approaches to Intervention

414

(8)

Sexual Desire Disorders

415

(2)

Sexual Arousal Disorders

417

(3)

Combination Approaches

420

(1)

Sexual Dysfunction among Gay Men

421

(1)

Summary

422

(1)

Study Questions

423

(1)

References

423

(4)

Orgasmic Disorders

427

(30)

Sophia F. Dziegielewski

George Jacinto

Gary Dick

Cheryl Resnick-Cortes

Overview of the Problem

427

(1)

Operational Definitions of the Problem

428

(7)

Sexual Development

428

(2)

Defining Sexual Dysfunctions

430

(1)

Prevalence Estimates of Sexual Dysfunction

430

(1)

Prevalence Estimates of Male Orgasmic Disorders

431

(1)

Prevalence Estimates of Female Orgasmic Disorders

432

(1)

Categories of Orgasmic Disorders

432

(1)

Anorgasmia

433

(1)

Premature Ejaculation

434

(1)

Evidence-Based Approaches to Assessment

435

(6)

Assessment Scales

437

(3)

Special Considerations in Assessment

440

(1)

Evidence-Based Approaches to Intervention

441

(9)

Anorgasmic Disorders

442

(5)

Premature Ejaculation

447

(3)

Summary

450

(2)

Study Questions

452

(1)

References

452

(5)

Part VII Eating Disorders

457

(26)

Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder

459

(24)

Laura L. Myers

Overview of the Problem

459

(1)

Operational Definitions of the Problem

460

(5)

Bulimia Nervosa

460

(1)

Anorexia Nervosa

461

(1)

Atypical Eating Disorder

462

(1)

Binge Eating Disorder

463

(1)

Prevalence

463

(1)

Prognosis

464

(1)

Evidence-Based Approaches to Assessment

465

(3)

Structured Clinical Interviews

465

(1)

Self-Report Questionnaires

466

(1)

Computerized Assessment Methods

467

(1)

Observational Methods

468

(1)

Evidence-Based Approaches to Treating Bulimia Nervosa

468

(4)

Cognitive-Behavioral Treatment

468

(1)

Advanced Cognitive-Behavioral Therapy Research

469

(1)

Interpersonal Psychotherapy

470

(1)

Nutrition Therapy

470

(1)

Pharmacological Treatment

471

(1)

Evidence-Based Approaches to Treating Anorexia Nervosa

472

(4)

Behavior Therapy

472

(1)

Behavioral Family Therapy

473

(1)

Cognitive-Behavioral Treatment

473

(1)

Pharmacological Treatment

474

(1)

Evidence-Based Approaches to Treating Binge Eating Disorders

474

(1)

Cognitive-Behavioral Treatment

474

(1)

Interpersonal Psychotherapy

475

(1)

Behavioral Weight Loss Treatment

475

(1)

Pharmacological Treatment

476

(1)

Evidence-Based Approaches to Treating Atypical Eating Disorders

476

(1)

Summary

476

(1)

Study Questions

477

(1)

References

477

(6)

Part VIII Personality Disorders

483

(42)

Antisocial Personality Disorder

485

(18)

Carolyn Hilarski

Overview of the Problem

485

(2)

Operational Definitions of the Problem

487

(2)

Diagnostic and Statistical Manual of Mental Disorders IV Criteria

487

(1)

Prevalence

488

(1)

Cost

488

(1)

Implications for Social Work

488

(1)

Evidence-Based Approaches to Assessment

489

(2)

Self-Report Methods

489

(1)

Semistructured Assessment

490

(1)

Multidimensional Structured Interview

491

(1)

Evidence-Based Approaches to Intervention

491

(5)

Treatment Prognosis

491

(1)

Pharmacological Treatments

492

(1)

Individual Therapies

493

(1)

Group Therapies

493

(1)

Community Prevention and Intervention Models

494

(1)

Family Therapies

494

(2)

Summary

496

(1)

Study Questions

496

(1)

References

497

(6)

Borderline Personality Disorder

503

(22)

Andre Ivanoff

Jennifer Manuel

Henry Schmidt III

Overview of the Problem

503

(1)

Operational Definitions of the Problem

504

(2)

Evidence-Based Approaches to Assessment

506

(3)

Self-Report Methods

506

(3)

Evidence-Based Approaches to Intervention

509

(9)

Psychopharmacological Treatments

509

(1)

Individual Therapies

510

(5)

Psychodynamic and Psychoanalytic Therapies

515

(1)

Cognitive Therapy

516

(1)

Dialectical Behavior Therapy

516

(1)

Marital/Couple/Family Therapies

517

(1)

Summary

518

(1)

Study Questions

518

(1)

References

519

(6)

Part IX Conclusions

525

(20)

The Role for Social Workers in the Managed Health Care System: A Model for Evidence-Based Practice